Medicines Learning Portal [ www.medicineslearningportal.org ]



On-call information resourcesThe weblinks below may be helpful to you when on-call. We're not endorsing any of these resources as essential for providing an on-call service, simply drawing attention to their potential value if you have access. Some of these websites require username/passwords and you can record these below. In addition to these sites, you will need access to your Trust’s local guidelines. Also, if you have an MI centre at your hospital you may find it helpful to arrange for access to?MiDatabank, the database that archives all the clinical enquiries that have been answered.General referencesNameMy username and passwordTop tipsBNF Open accessQuick, concise and useful answers for many problems.eMCOpen accessSPCs are good for a range of problems including dose, administration, adverse reactions and interactions.Martindale [subscription needed]Use for doses, adverse effects, identifying foreign medicines. Some information about unlicensed indications.AHFS Drug Information[subscription needed]Use for doses, adverse effects, and administration. An American resource so note differences between US and UK product names, formulations and licences.Micromedex[subscription needed]Particularly useful for unlicensed indications, but also doses and ADRs. An American resource so note differences between US and UK as above.NICE Clinical Knowledge Summaries Open accessHelpful evidence-based summaries of treatment of common medical conditions.Specialist Pharmacy Service (SPS)Open accessHas Medicines Q&As about various clinical subjects and information about items left out of the fridge.Administration of medicinesNameMy username and passwordTop tipsEnteralHandbook of Drug Administration via Enteral Feeding Tubes [subscription needed]Use for questions about patients with enteral feeding tubes, but also has information regarding interaction with feeds.The NEWT Guidelines[subscription needed]Similar to above, but has additional information about patients with swallowing difficulties. Note that some guidance may be based on local practice rather than published research.UKCPA Handbook of Perioperative MedicinesOpen accessUse for guidance on managing medicines around surgery.IntravenouseMCOpen accessFor advice on injection methods, dilution, preparation and dose.Injectable Medicines Guide (‘Medusa’)[subscription needed]Useful for most aspects of administering injectable medicines. UKCPA Minimum Infusion Guidelines 2012Open accessFor guidance on administering parenteral medicines to fluid-restricted patients.BreastfeedingAlthough it’s not very likely you’ll be asked about this subject when on-call, there are two very good free websites that will help you with most problems:NameMy username and passwordTop tipsSpecialist Pharmacy ServiceOpen accessType medicine into search engine and select it from the drop down list, then scroll to bottom of the page to look at the 'Lactation Safety Information' section.LactmedOpen accessNote this is an American site.ChildrenThere are two websites that provide quick, concise and useful information for most clinical problems involving children:NameMy username and passwordTop tipsBNF-COpen accessEvelina London Paediatric Formulary (formerly Guy’s & St Thomas’ Paediatric Formulary)Open accessThe Neonatal FormularyA helpful book for drug doses in neonates/infants, and your Trust may have a paper copy or access to this as an e-patibility of injections NameMy username and passwordTop tipsHandbook on Injectable Drugs (‘Trissel’) [subscription needed]Helpful for mixing parenteral medicines together. A US resource so not all UK medicines are covered. [subscription needed]Provides data on mixing some combinations of drugs in syringe drivers.The Syringe Driver (Dickman and Schneider)Available in paper form not online, but has information about mixing medicines in syringe drivers.Interactions NameMy username and passwordTop tipseMCOpen accessOften comprehensive for each drug but may not offer advice on management. Stockley’s Drug Interactions[subscription needed]Gives advice on managing interactions and their clinical importance. Transformer Cytochrome p450 DatabaseOpen accessThis site is a database of medicines that are metabolised by this group of enzymes or which inhibit or induce them. It may?help you predict metabolic interactions dependent upon their interaction with cytochrome p450.HIV Interactions CheckerOpen accessA valuable site from the University of Liverpool. Most of the General references above may also be helpful depending on what you’re asked.Liver NameMy username and passwordTop tipseMCOpen accessThis may give data on dose adjustment in liver disease and/or notable hepatic side effects. LiverToxOpen accessHas information on drug-induced liver disease and its management; indexed by name of medicine, herbal product, street drug etc. An American site.Most of the General references above may also be helpful depending on what you’re asked.Palliative careNameMy username and passwordTop [subscription needed]Advice on compatibility in syringes.Palliative Care Formulary [subscription needed]Covers the management of many conditions and prescribing in special patient groups.The Syringe Driver (Dickman and Schneider)Available in paper form not online, but has information about mixing medicines in syringe drivers.PoisoningNameMy username and passwordTop tipsNational Poisons Information Service (NPIS)Open accessPharmacists are not experts on poisonings, so you should normally ask the person contacting you to ring the?service themselves.ToxbaseFree but requires registrationHas clinical advice on poisonings including antidotes.PregnancyCertain pregnancy enquiries may be able to wait until the next working day for a more considered opinion from e.g. an MI centre, but two helpful online resources are:NameMy username and passwordTop tipsUK Teratology Information ServiceUKTIS open acesss but Toxbase requires registration. Free to use.This page provides publicly available summaries of the risks of many drugs in pregnancy, but for more detailed information you will need to log into Toxbase as described on the site.?Drugs in Pregnancy and Lactation (Briggs) [subscription needed]Your Trust may have online access to this via e.g. the?publisher?or? HYPERLINK "" MedicinesComplete.?PsychiatryNameMy username and passwordTop tipsThe Maudsley Prescribing Guidelines in PsychiatryThis is a helpful guide to clinical problem-solving, and your Trust may have a paper copy or access to the e-book.Psychotropic Drug Directory (Stephen Bazire)This is a valuable book covering all aspects of the use of medicines in psychiatry, but it is only available in paper format.Renal NameMy username and passwordTop tipseMCOpen accessThis may give data on dose adjustment in renal disease and/or notable renal side effects.The Renal Drug Database [subscription needed]May offer advice on dosing in renal disease if the eMC cannot help.Most of the General references above may also be helpful depending on what you’re asked.Therapeutic Drug Monitoring NameMy username and passwordTop tipsTDM GuideOpen accessThis may help you with basic details about monitoring, if you don't have local guidelines to operate by. But guidance may vary per Trust. ................
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